Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA CLARK, BA
Active Sole ProprietorJESSICA CLARK, BA is a Case Management Agency healthcare provider located in MT WASHINGTON, Kentucky. NPI 1942612296 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · MT WASHINGTON, KY
Registration Details
- NPI Number
- 1942612296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2014 (12.209920351196 yrs)
- Last Updated
- May 21, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 JOHN AUSTIN LNMT WASHINGTON, KY, 400476354Browse KY providers · Browse ZIP 40047
- Phone
- 5023772686
- Primary Specialty
-
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.